The URL can be used to link to this page

Home My WebLink AboutBLDE-18-005189 4 Commonwealth of Official Use Only ` k�E !►la_ Pi Massachusetts Permit No. BLDE-18-005189 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f Rev.1/071 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:3/22/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her mtention to perform the electrical work described below. Location(Street&Number) 150 GREAT WESTERN RD Owner or Tenant HAYS JOHN L Telephone No. Owner's Address HAYS DEBORAH A, 150 GREAT WESTERN RD,SOUTH YARMOUTH, MA 02664-2205 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen, bath 8 garage.Add sub panel. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- o No.of Emergency Lighting grnd. grnd. Batten,Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Univalent No.Ilydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Univalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) • I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Tyler W Payne Licensee: Tyler W Payne Signature LIC.NO.: 22091 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:5 JANS PATH, HARWICH MA 026452458 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 e CDt( 3/24I& E re— //�� (Ft. QB+D 8(u{ 18 al 044'0 `KFC.- (0.9.- -) -7/31 /( 6 l&car c giNe_,n.br- EFel wCsc/4r6 '-w q 8pal 8 pm_ - l Ntp &A-c9 8(vi It g egi r"..‘ l-onunonweawt of rr/a!lachulain "•..`."' ""'""'' -" I k'�W ccyy� n(� Permit No. 61 g/1"51.� g'i c Miles_ t 1Japari nanl o��ira—Comical A" BOARD OF FIRE PREVENTION REGULATIONSt Rev.1 07cyand Fee Checked _� ) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYP ALL INFORMATION) Date: 5 /221 i t City or Town of: N(n✓Mor t ti To the Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) f St &1/Liv4- ( rt (ZIP Owner or Tenant .John 'v ' Telephone No. Owner's Address ,,t9rriL Is this permit in conjunction with a building permit? Yes Er No ❑ (Check Appropriate Box) BPurpose of Building pixW"J Utility Authorization No. Existing Service 20.) Amps at/ / It Volts Overhead Undgrd❑ No.of Meters I New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters ...7777 Number of Feeders and Ampacity CI L cation and Nature of Proposed Electrical Work: J �t/-r t r ,s/q-/ Ijq¢h .4 erg, ,�t.«s,�t y tat Anct w m �° Completion ojrhe following table may be waived by the Inspector of Wires. ,_ N .of Recessed Luminaires No.of Ceil. Susp.(Paddle)Fans No.of Total Transformers KVA W �'t J of Luminaire Outlets No.of Hot Tubs Generators KVA t;) -cc -±: Above In- No.of Emergency Lighting 1N .of Luminaires Swimming Pool gird. ❑ gird. ❑ Battery Units wft , 1 N of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones . o.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of RangesNo.of Air Cond. Total No.of Alerting Devices e No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Po Totals: Detection/AlertinRDevices No.of Dishwashers Space/Area HeatingKW Local❑ Municipa 0 Other P Cyyonnection No.of Dryers Heating Appliances KW Security of Systems:* s or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecNo mmunications iv of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work:41 '7 roU• (When required by municipal policy.) Work to Start: 0124 if- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 153L BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Pay EifJ lf. INC. LIC.NO.:5?�O7Lt.$ Licensee:J Signature //j /A-) 11, / LIC.NO.: I pier p (If applicable,enterA�'e�xempt"in the license number line) Bus.TeL No.• / `r Address: 9' JA IS RCM FWPt 'IC'4+,MPc OlIe4S Alt.Tel.No.. 41" frri -if *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety'5"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,)hereby waive this requirement. 1 am the(check one)0 owner 0 owner's anent. Owner/Agent PERMIT FEE: $ Signature Telephone No.